留守儿童24 h活动与情绪行为问题的关系

楼佳颖; 王云峰; 李锐; 周玉兰

doi:10.16835/j.cnki.1000-9817.2024039

留守儿童24 h活动与情绪行为问题的关系

doi: 10.16835/j.cnki.1000-9817.2024039

1.
浙江师范大学体育与健康科学学院，金华 321004
2.
浙江省慈溪市崇寿镇相公殿小学

基金项目:

金华市公益性技术应用研究项目 2022-4-05

详细信息

作者简介:
楼佳颖(2000-)，女，浙江金华人，在读硕士，主要研究方向为身体活动与健康促进

通讯作者:
周玉兰，E-mail：284825592@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: 844.1 R179 R193
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- 被引次数: 0
出版历程
- 收稿日期: 2023-08-31
- 修回日期: 2023-11-09
- 网络出版日期: 2024-02-01
- 刊出日期: 2024-01-25

Association of 24-hour movement behaviors with emotional and behavioral problems among left-behind children

1.
College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua (321004), Zhejiang Province, China

摘要

摘要: 目的了解留守儿童24 h活动行为达标情况及其与情绪行为问题的关系，为24 h活动干预促进留守儿童情绪行为问题的实践提供理论参考。方法于2023年2—5月，采用方便整群抽样方法，从浙江省宁波市、金华市、台州市、温州市和丽水市5个地市选取10所小学的四至六年级1 117名留守儿童进行24 h活动和情绪行为问卷调查，运用一般线性模型分析留守儿童24 h活动指南达标情况与情绪行为问题的关系。结果 24 h活动行为中睡眠时长达标所占比例最高(52.19%)，中高强度身体活动(MVPA)达标占比最低(17.73%)，MVPA、屏幕时间、睡眠时长3项活动均达标的比例为7.43%。线性回归分析结果显示，指南的达标数量与留守儿童情绪行为呈剂量-效应关系，即达标数量越多，留守儿童的情绪行为问题风险越低(困难因子：β=-0.56，95%CI=-1.23~-0.19；长处因子：β=0.50，95%CI=-0.48~1.22；P值均 < 0.01)。与未达标的留守儿童相比，屏幕时间(β=-0.23，95%CI=-2.18~-0.14)和睡眠时长(β=-0.13，95%CI=-1.66~-0.11)独立达标与困难因子均呈负相关，MVPA(β=0.13，95%CI=0.09~1.08)和睡眠时长(β=0.18，95%CI=0.09~1.40)独立达标与长处因子均呈正相关(P值均 < 0.01)；与达到1项标准相比，达到2项或全部3项标准与留守儿童困难因子、长处因子的相关性更强(P值均 < 0.01)。结论 24 h活动行为达标与留守儿童情绪行为问题负性相关。应制定综合干预措施，改善留守儿童24 h活动行为，促进留守儿童心理健康。
- 运动活动 /
- 情绪 /
- 精神卫生 /
- 线性模型 /
- 儿童
Abstract: Objective To examine the association of 24-hour movement behaviors with emotional and behavioral problems among left-behind children, so as to provide a theoretical reference for the practice of 24-hour activity interventions to promote emotional and behavioral problems in this population. Methods From February to May 2023, 1 117 left-behind children in grades 4-6 from 10 primary schools in five cities in Zhejiang Province were selected using a convenient cluster sampling method to conduct a questionnaire survey examining 24-hour movement behaviors, as well as emotional and behavioral problems. The general linear model was adopted to analyze the association between satisfying the 24-hour movement behavior guidelines, and emotional and behavioral problems among left-behind children. Results The sleep duration compliance rate was the highest (52.19%), while the moderate-to-vigorous PA (MVPA) compliance rate was the lowest (17.73%). The compliance rate of the three activities accounted for 7.43%. There was a dose-response between the number of guidelines satisfied, and the emotional and behavior of left-behind children; that was, satisfaction of a higher number of guidelines was associated with a lower risk of emotional and behavioral problems among left-behind children (difficulty factor: β=-0.56, 95%CI=-1.23--0.19; strength factor: β=0.50, 95%CI=-0.48-1.22, P < 0.01). Compared to satisfying none of the guidelines, satisfying the guidelines for screen time (β=-0.23, 95%CI=-2.18--0.14) and sleep duration (β=-0.13, 95%CI=-1.66--0.11) was negatively correlated with the difficulty factor, while satisfying the guideline for MVPA (β=0.13, 95%CI=0.09-1.08) and sleep duration (β=0.18, 95%CI=0.09-1.40) was positively associated with the strength factor. In addition, satisfying two or all three of the guidelines was more strongly associated with these outcomes than satisfying one of the recommendations (P < 0.01). Conclusions Meeting the 24-hour movement behavior guidelines can improve emotional and behavioral problems among left-behind children. It is necessary to raise their awareness of the effect of satisfying the 24-hour movement behavior guidelines and formulate comprehensive intervention measures.
- Motor activity /
- Emotions /
- Mental health /
- Linear models /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 留守儿童24 h活动行为达标情况与困难因子的关系(n=1 117)

Table 1. Relationship between the compliance of 24-hour activity behavior and the difficulty factors of left behind children (n=1 117)

自变量	模型1		模型2
自变量	β值(95%CI)	P值	β值(95%CI)	P值
性别	0.00(-0.56~0.60)	0.95	-0.00(-0.61~0.51)	0.87
年龄	-0.12(-0.40~-0.01)	＜0.01	-0.18(-0.29~-0.01)	＜0.01
BMI	0.02(-0.04~0.09)	0.39	0.02(-0.04~0.09)	0.41
父亲受教育程度	-0.06(-0.54~0.01)	0.06	-0.05(-0.52~0.01)	0.06
母亲受教育程度	0.04(-0.09~0.44)	0.20	0.03(-0.11~0.40)	0.26
家庭经济水平	-0.04(-1.06~0.12)	0.12	-0.03(-0.90~0.23)	0.25
单亲看护	0.01(-0.40~0.77)	0.54	0.02(-0.27~0.86)	0.31
达标数量	-0.56(-1.23~-0.19)	＜0.01	—	—
达标项目
MVPA			-0.02(-0.24~0.42)	0.11
屏幕时间			-0.23(-2.18~-0.14)	＜0.01
睡眠时长			-0.13(-1.66~-0.11)	＜0.01
MVPA+屏幕时间			-0.31(-1.67~-0.15)	＜0.01
MVPA+睡眠时间			-0.26(-1.81~-0.16)	＜0.01
睡眠时长+屏幕时间			-0.33(-2.33~-0.11)	＜0.01
MVPA+屏幕时间+睡眠时长			-0.45(-1.21~-0.27)	＜0.01
注：性别参照类别为女生，看护类型参照类别为隔代看护，达标项目参照类别为未达标组；父母受教育程度及家庭经济水平为连续变量。

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表 2 留守儿童24 h活动行为达标情况与长处因子的关系(n=1 117)

Table 2. Relationship between the compliance of 24-hour activity behavior and the strengths of left behind children (n=1 117)

自变量	模型1		模型2
自变量	β值(95%CI)	P值	β值(95%CI)	P值
性别	-0.09(-0.67~-0.00)	＜0.01	0.08(0.08~0.64)	< 0.01
年龄	-0.00(-0.11~0.09)	0.91	-0.01(-0.12~0.08)	0.73
BMI	-0.05(-0.05~-0.00)	0.04	-0.05(-0.06~-0.00)	0.02
父亲受教育程度	-0.01(-0.14~0.09)	0.66	-0.02(-0.14~0.08)	0.58
母亲受教育程度	-0.01(-0.13~0.09)	0.71	-0.01(-0.12~0.09)	0.81
家庭经济水平	0.04(-0.05~0.43)	0.12	0.03(-0.06~0.41)	0.15
单亲看护	0.03(-0.10~0.37)	0.25	0.02(-0.12~0.35)	0.33
达标数量	0.50(0.48~1.22)	＜0.01	—	—
达标项目
MVPA			0.13(0.09~1.08)	＜0.01
屏幕时间			0.06(-0.08~0.29)	0.07
睡眠时长			0.18(0.09~1.40)	＜0.01
MVPA+屏幕时间			0.21(0.14~3.87)	＜0.01
MVPA+睡眠时间			0.33(0.29~2.42)	＜0.01
睡眠时长+屏幕时间			0.31(0.15~2.70)	＜0.01
MVPA+屏幕时间+睡眠时长			0.38(0.15~2.46)	＜0.01
注：性别参照类别为女生，看护类型参照类别为隔代看护，达标项目参照类别为未达标组；父母受教育程度及家庭经济水平为连续变量。

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